全身麻醉联合硬膜外麻醉在胸部手术中的麻醉效果分析

Analysis of anesthetic effect by general anesthesia combined with epidural anesthesia in thoracic operation

目的探讨在胸部手术中运用全身麻醉联合硬膜外麻醉的效果。方法 156例胸科手术患者随机分为对照组和观察组,各78例。对照组给予全身麻醉,观察组给予全身麻醉联合硬膜外麻醉。比较两组患者术前、术中、术后的收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)、心率(HR)、血氧饱和度(Sp O2)以及拔管时间、自主呼吸恢复时间、完全清醒时间、术后不良反应发生率。结果观察组术中、术后SBP、DBP、MAP、HR监测指标低于对照组,观察组拔管时间、自主呼吸恢复时间、完全清醒时间短于对照组,不良反应发生率低于对照组,差异均有统计学意义(P<0.05)。结论全身麻醉联合硬膜外麻醉应用在胸部手术中,效果显著,值得临床推广应用。

Objective To investigate anesthetic effect by general anesthesia combined with epidural anesthesia in thoracic operation. Methods A total of 156 patient receiving thoracic operation were randomly divided into control group and observation group, with 78 cases in each group. The control group received general anesthesia, and the observation group received general anesthesia combined with epidural anesthesia. Comparisons were made on their systolic blood pressure （SBP）, diastolic blood pressure （DBP）, mean arterial pressure （MAP）, heart rate （HR）, oxyhemoglobin saturation （SpO2） before, during and after operation, extubation time, spontaneous breathing recovery time, fully awake time, and incidence of postoperative adverse reactions between the two groups： Results The observation group had all lower SBP, DBP, MAP, HR during and after operation than the control group, and its extubation time, spontaneous breathing recovery time, and fully awake time were shorter than those in the control group. The observation group also had lower incidence of adverse reactions than the control group. Their differences all had statistical significance （P〈0.05）. Conclusion Combination of general anesthesia and epidural anesthesia provides precise effect in thoracic operation. This method is worth clinical promotion and application.